Doctor profile · Federal record
Dr. Dana Boucek
Pediatric Cardiology Physician (CMS: Pediatric Medicine) · Student in an Organized Health Care Education/Training Program · Salt Lake City, UT
- NPI 1154612117
- Accepts Medicare
- 15 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
100 North Mario Capecchi Dr., Primary Children's
Salt Lake City, UT 84113
(801) 662-5700 - Additional location
-
3401 Civic Center Blvd, Division of Pediatric Cardiology
Phildelphia, PA 19104
(215) 590-3274 - Mailing address
-
3601 Market St Unit 1713
Philadelphia, PA 191045914
Credentials & registration
- NPI registered
- April 2011 — 15 yrs on file
- Profile last updated
- October 28, 2021
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 2080P0202X — NUCC code
- State license (1)
- Pennsylvania #MD460722
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1154612117. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$317
Transactions
4
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, INC. | 2 | $208.04 | |
| Abbott Laboratories | 1 | $89.97 | |
| Edwards Lifesciences Corporation | 1 | $18.69 |
By nature of payment
Frequently asked questions
What is Dr. Dana Boucek's medical specialty?
Dr. Dana Boucek practices Pediatric Cardiology Physician in Salt Lake City, UT.
Where does Dr. Dana Boucek practice?
Dr. Dana Boucek practices at 100 North Mario Capecchi Dr., Salt Lake City, UT 84113. Office phone: 8016625700.
What is Dr. Dana Boucek's NPI?
Dr. Dana Boucek's National Provider Identifier (NPI) is 1154612117, issued by NPPES.
Does Dr. Dana Boucek accept Medicare assignment?
Yes. Dr. Dana Boucek accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.